# DR. JANE CUNNINGHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619987955
- **Gender:** F
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 15290 | MD | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 09/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 147264000 | DEPT OF LABOR | MD |
| 01 | — | 336006 | ALLIANCE | MD |
| 01 | — | 53485701 | BLUE CROSS OF MARYLAND | MD |
| 01 | — | 650023076 | RAILROAD MEDICARE | — |
| 01 | — | T628 0001 | BLUE CROSS BLUE SHIELD DC | DC |
| 01 | — | TRICARE | 521983163 | — |
